Archive for May, 2011

Michael Finelli RRT, NRCP Hospital for Sick Children Toronto

• Examine traditional pressure ventilation
• Examine the introduction of volume ventilation
• Discuss a few differences between volume modes and volume targeted strategies
• Discuss the Cochrane Review data on volume targeted versus pressure-limited ventilation


Download PDF

Downloadable COPD action Plan

An action plan is a contract between you and your doctor about how you will manage your COPD flare-ups. The goal of this action plan is to quickly detect and treat COPD flare-ups.
Especially watch for a COPD flare-up when:
1.    You get a cold or flu. 2.    You feel run down or tired. 3.    You are exposed to air pollution. 4.    After weather changes. 5.    When your mood changes; such as feeling down or anxious.
If you have 1 or more of the following symptoms for 1 to 2 days you are having a COPD flare-up:
1.    Increased shortness of breath compared to normal. 2.    Increased amounts of cough and sputum from normal. 3.    Your sputum changes from its normal colour to a yellow, green or rust colour.


copd_action plan_

Excellent resource for patients and health workers.


Some recent info:

January 01, 2004

When a person is diagnosed with lung cancer, the doctors do their best to provide treatments that can cure or slow the growth of the cancer.

January 01, 2004

Why Should I have a Bronchoscopy?

January 01, 2004

The work that follows is designed to be used by patients before they get in an examination room to facilitate a complete review of systems, occupational history, and medication history.

January 01, 2004

This patient care questionnaire has been developed by the American College of Chest Physicians through its Interstitial and Diffuse Lung Disease NetWork to assist in patient care.

January 01, 2004

For most people, living with chronic obstructive pulmonary disease (COPD) is not easy.

Patient Education Guides

Neonatal ventilation video Leoni Plus:


VANCOUVER – Nicotine replacement therapies will be available to all British Columbian smokers at no cost and smoking cessation prescription drugs will be covered under PharmaCare, Premier Christy Clark announced today.

“Every year tobacco-related deaths rob us needlessly of friends, family and loved ones,” said Premier Christy Clark. “Tobacco is the largest single cause of premature death and disease in our province and while a lot of progress has been made, there is still more we can do. This program will provide smokers with a new level of direct support to quit, to live smoke-free, and to improve their own health as well as the health of their families.”

Starting Sept. 30, 2011, British Columbians will have the choice of either nicotine gum or patches to help quit tobacco with a free supply for up to 12 weeks, or obtaining coverage of prescribed smoking cessation drugs through PharmaCare. The program will cost an estimated $15 million to $25 million, based on the number of individuals who use the program.


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Tom Piraino RRT and Deborah J Cook MD

A key limitation of mechanical ventilators is that they do not measure the Ptp or pleural pressure. Airway pres- sure alone cannot distinguish poor lung compliance from poor chest-wall compliance. High intra-abdominal pres- sure can severely impair chest wall mechanics.9,10 We used esophageal balloon manometry to estimate Ptp and guide optimal PEEP in a patient suspected of having decreased lung compliance due to intra-abdominal hypertension.


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Respir Care 2011 Piraino


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